HomeMy WebLinkAboutAgreement A-16-502-2 with CDPH.pdfII.Exhibit B – Budget Detail and Payment Provisions
4.Amounts Payable
A.The amounts payable under this contract shall not exceed:
1)$0 for the budget period of 12/01/15 through 06/30/16
2)$122,656 for the budget period of 07/01/16 through 06/30/17
3)$122,656 91,992 for the budget period of 07/01/17 through 06/30/18
4)$122,656 65,624 for the budget period of 07/01/18 through 06/30/19
5)$26,368 for the budget period of 07/01/19 through 09/30/19
B.Payment allocations shall be made for allowable expenses up to the amount annually encumbered
commensurate with the state fiscal year in which services are fulfilled and/or goods are received.
County of Fresno County Department of Public Health
15-10977 A02
Exhibit A
Scope of Work
Page 1 of 7
1.Service Overview
County of Fresno, Fresno County Department of Public Health (FCDPH) agrees to
provide the following services to the California Department of Public Health (CDPH).
California Project LAUNCH (Linking and Addressing the Unmet Needs for Children’s
Health) is a program funded by the Substance Abuse and Mental Health Services
Agency that replicates specific successful early childhood strategies resulting in
improved mental health, reduced substance use, increased parenting skills, and
improved maternal and child health. Under this contract, County of Fresno, FCDPH will
replicate the strategies of mental health consultation into home visiting, Parent Cafes,
and systems integration by participating in technical assistance and training provided by
the lead local health jurisdiction, Alameda County Public Health and its contractors.
Parent Cafes are a series of structured small group conversations that bring parents
together to discuss issues important to them. The goal is to engage parents in
building protective factors needed to prevent maltreatment and promote healthy
outcomes for their children.
This agreement provides further support for the population currently served by the
Maternal, Infant and Early Childhood Home Visiting (MIECHV) Program. The
program will help improve outcomes for families who reside in at-risk communities
through evidence-based home visiting programs.
The Local Health Jurisdiction (LHJ), County of Fresno County, agrees to provide
the services presented in this Scope of Work (SOW) from the CDPH’s Maternal,
Child and Adolescent Health (MCAH) Division.
The purpose of the SOW is to provide parameters for implementing the Project
LAUNCH replication grant to achieve positive outcomes for children and families in
Fresno County.
2.Service Location
Project LAUNCH will take place in Fresno County of Fresno.
3.Service Hours
The services will be provided during County working hours and days, except official
holidays.
County of Fresno County Department of Public Health
15-10977 A02
Exhibit A
Scope of Work
Page 2 of 7
4.Project Representatives
A.The project representatives during the term of this agreement will be:
California Department of Public Health
Michael Neff Fiona Humphrey, Contract
Analyst Manager
Telephone: (916) 650-0326 341-6726
Fax: (916) 650-0309
Email: Fiona.Humphrey@cdph.ca.gov
Email: michael.neff@cdph.ca.gov
Fresno County of Fresno Department
of Public Health
Rose Mary Garrone, MCAH Director
Telephone: (559) 600-3330
Fax: (559) 455-4705
Email: rgarrone@co.fresno.ca.us
B.Direct all inquiries to:
California Department of Public Health
Financial Management & Contract Operations
Attention: Michael Neff Fiona Humphrey,
Contract Analyst Manager
1615 Capitol Avenue, Suite 73.560, MS 8305
P.O. Box 997420
Sacramento, CA 95899-7420
Telephone: (916) 650-0326 341-6726
Fax: (916) 650-0309
Email: Fiona.Humphrey@cdph.ca.gov
Email: michael.neff@cdph.ca.gov
Fresno County of Fresno Department
of Public Health
Attention: Rose Mary Garrone Rahn,
MCAH Director
1221 Fulton Mall Street
Fresno, CA 93721
Telephone: (559) 600-3330
Fax: (559) 455-4705
Email: rgarrone@co.fresno.ca.us
rrahn@fresnocountyca.gov
C.All payments from CDPH to the Contractor shall be sent to the following
address: Either party may make changes to the information above by giving written
notice to the other party. Said changes shall not require an amendment to this
agreement.
Remittance Address
Contractor: County of Fresno
Attention: Rose Mary Rahn
Address: P.O. Box 11867
City, Zip: Fresno, CA 93775-1867
Phone: (559) 600-3330
Fax: (559) 455-4705
E-mail: rrahn@fresnocountyca.gov
D.Either party may make changes to the information above by giving written
notice to the other party. Said changes shall not require an amendment to this
agreement.
County of Fresno County Department of Public Health
15-10977 A02
Exhibit A
Scope of Work
Page 3 of 7
5. Subcontractor Requirements
Subcontracts may be used in the performance of the scope of work.
6.Reporting Requirements
All activities in this SOW shall take place from receipt of funding beginning
December 1, 2015 through June 30, 2016 for fiscal year 2015-16 and from July 1,
2016 through June September 30, 2019 for fiscal years 2016-2019 2016-17
through 2019-20, contingent on availability of funds and spending authority.
The table below summarizes a list of reports due to CHVP. Specifics related to the
contents of reports are described further in this SOW and located under
Evaluation/Performance Measure of each objective.
Reporting From To Due Date
1st Status Report December 1 June 30 July 31
2nd Status Report July 1 June 30 July 31
3rd Status Report July 1 June 30 July 31
Final Status Report July 1 June 30 July 31
7.See Exhibit A, Attachment I for a detailed description of the services to be
performed.
County of Fresno County Department of Public Health
15-10977 A02
Exhibit A
Scope of Work
Page 4 of 7
Attachment I
Goal 1: Coordination with California Home Visiting Program (CHVP) to support the development and implementation of LAUNCH activities.
Major Objective Major Functions, Tasks and
Activities
Time Line Staff
Responsibilities
Performance Measure and/or
Deliverables 1.Create guidelines forestablishing cross-agency participationin technicalassistance andactivityimplementation.
1.1 Participate in LAUNCH activities with specific emphasis on enhancing cross-agency coordination and collaboration; addressing mental health needs in home visiting programs; and increasing parent engagement through Parent Cafes.
December 2015 to June
September 2019
MCAH Director MCAH Coordinator Mental Health Consultant
1.1.1 Meet with project director at least three times a year 1.1.2 Monitor provision of Technical Assistant (TA) as needed through emails, phone calls and meeting requests.
1.2 Participate in the development of Project LAUNCH technical assistance and implementation activities.
December 2015 to June
September 2019
MCAH Director 1.2.1 Submit annual progress reports on staffing and activity details.
County of Fresno County Department of Public Health
15-10977 A02
Exhibit A
Scope of Work
Page 5 of 7
Attachment I
Goal 2: Develop mental health consultation in home visiting.
Major Objective Major Functions, Tasks and
Activities
Time Line Staff
Responsibilities
Performance Measure and/or
Deliverables 2.Establish supportactivities to assist inimplementation ofmental healthconsultation intohome visitingprograms.
2.1 Participate in LAUNCH training opportunities and technical assistance activities. July 2016 May 2017 MCAH Director MCAH Coordinator 2.1.1 Complete Assessment compiled and reviewed to determine needs around mental health consultation. 2.1.2 Create and submit plan to replicate mental health consultation into home visiting programs. 2.2. Implement and/or pilot mental health consultation into home visiting programs.
June 2017 MCAH Coordinator Mental Health Consultant
2.2.1 Mental health consultation appointments scheduled with home visitors. 2.2.2. Document the number of home visitors consulting with the Mental Health Specialist (MHS), the mental health needs being addressed and the number of clients referred to the MHS.
County of Fresno County Department of Public Health
15-10977 A02
Exhibit A
Scope of Work
Page 6 of 7
Attachment I
Goal 3: Develop and strengthen the implementation of Parent Cafés to build family engagement and leadership.
Major Objective Major Functions, Tasks and
Activities
Time Line Staff
Responsibilities
Performance Measure and/or
Deliverables 3.Oversee and assist inthe development andimplementation ofthe Parent Cafémodel.
3.1 Participate in LAUNCH training opportunities and technical assistance activities. July 2016 May 2017 MCAH Director MCAH Coordinator
3.1.1 Complete assessment to determine needs around parent cafes. 3.1.2 Develop and submit a plan on initiation and provision for Parent Cafes.
3.2 Implement and/or strengthen local Parent Cafés in targeted areas. June 2017 MCAH Coordinator Mental Health Consultant
3.2.1 Submit attendance report for Parent Cafes. 3.2.2 Provide survey to attendees of Parent Cafes with questions on if an increase in parenting knowledge is achieved through participation.
County of Fresno County Department of Public Health
15-10977 A02
Exhibit A
Scope of Work
Page 7 of 7
Attachment I
Goal 4: Participate in the Project LAUNCH Substance Abuse and Mental Health Services Administration (SAMHSA) evaluation, working with SAMHSA-designated evaluator and ensure all data, surveys and interviews are satisfied as requested.
Major Objective Major Functions, Tasks and
Activities
Time Line Staff
Responsibilities
Performance Measure and/or
Deliverables 4.Complete and reportall data, surveys andinterviews.4.1. Participate in external evaluation activities associated with the contract. December 2015 to June
September 2019
MCAH Director MCAH Coordinator Mental Health Consultant
4.1.1 Provide quarterly reports for progress on mental health consultation and parent cafe strategies. 4.1.2 Submit all SAMHSA required surveys and interviews regarding Project LAUNCH, including client level data, Parent Cafe attendance information, home visitors trained and home visiting clients served.
Amendment Amendment Original Amendment
Annual Salary Annual Salary FTE % FTE % Annual Cost Annual Cost
$ 112,974 117,580$ 5.00%5% $ 5,649 $ 5,879
$ 103,323 106,925$ 15.00%15% $ 15,498 $ 16,039
38,260$ 5% $0 $ 1,913
61,595$ 5% $0 $ 3,080
$ 21,147 $ 26,911
$ 15,799 $ 22,086
$ 36,946 $ 48,997
$ 5,600 $ 1,911
$ 1,500 $ 1,500
$ 1,300 $ 1,300
$ 1,177 $ 1,000
$ 9,577 $ 5,711
$0 $0
$0 $0
$ 5,200 $ 2,700
$ 5,200 $ 2,700
$ 30,000 $0
$ 26,000 $ 22,335
$ 56,000 $ 22,335
$0 $0
$0 $0
(13.979%25.000% $ 14,933 $ 12,249
$ 122,656 $ 91,992
Facilities Rent (Space rental fees for related meetings/trainings.)
MCAH Director
Training (Training parent leaders for Parent Cate's at $800/day for seven days.)
Printing (Charges related to office printing, forms, & informational handouts related to LAUNCH.)
Office Supplies (General office expenses for staff to carry out LAUNCH)
Supervising PHN
(Retirement 60.667.96%, OASDI 7.1%, Health Insurance 6.71%, Mgmt Life .2%, Ben Admin .1%)
Administrative Assistant
Staff Analyst
County City of Fresno
15-10977 A02
Total Personnel and Fringe Benefits
(74.7182.07% Personnel)
Year 3
Exhibit B, Attachment III
Budget
(07/01/17 through 06/30/18)
Position Title/Classification
Subtotal Total Personnel
Fringe Benefits
Total Sub-contract Subcontracts Costs
(Travel to Alameda for training and site visits, Occasional overnight stays. Reimbursement for staff for private auto mileage at rate
of 0.54/mile when they travel to related trainings/meetings. County will bill only up to the State's per diem rate, Includes County
vehicle & vehicle rental costs when private vehicles are not used. Also Includes expenses for meals and lodging for out of County
travel.)
Parent Cafe Coordinator (SOW Goal 3)
Mental Health Consultant (SOW Goals 1,2,3 &4)
Total Other Costs
Indirect Costs*
Total Budget Costs
*Indirect Costs are limited to the first $25,000 of each subcontract.
of Direct Costs Total Personnel and Fringe Benefits
Personnel
Subcontracts*
Operating Expenses
Total Equipment
Travel
Equipment (major equipment >$5,000)
Other Costs
Total Travel Costs
Total Operating Expenses
Amendment Amendment Original Amendment
Annual Salary Annual Salary FTE % FTE % Annual Cost Annual Cost
$ 112,974 0$ 5.00%0% $ 5,649 $0
$ 103,323 111,165$ 15.00%15.0002% $ 15,498 $ 16,675
46,544$ 14.999% $ 6,981
$ 21,147 $ 23,656
$ 15,799 $ 18,064
$ 36,946 $ 41,720
$ 5,600 $0
$ 1,500 $ 1,431
$ 1,300 $ 2,000
$ 1,177 $ 2,000
$ 7,000
$ 9,577 $ 12,431
$0 $0
$0 $0
$ 5,200 $ 1,043
$ 5,200 $ 1,043
$ 30,000 $0
$ 26,000 $0
$ 56,000 $0
$0 $0
$0 $0
14.68 25% $ 14,933 $ 10,430
$ 122,656 $ 65,624
Parent Cafe Coordinator (SOW Goal 3)
Travel
Total Costs
Total Sub-contract Subcontracts Costs
Other Costs
Total Travel Costs
Subcontracts
(Travel to Alameda for training and site visits, Occasional overnight stays. Reimbursement for staff for private auto mileage at rate of
0.54/mile when they travel to related trainings/meetings. County will bill only up to the State's per diem rate, Includes County vehicle &
vehicle rental costs when private vehicles are not used. Also Includes expenses for meals and lodging for out of County travel.)
Total Other Costs
Indirect Costs*
*Indirect Costs are limited to the first $25,000 of each subcontract.
of Direct Costs Total Personnel and Fringe Benefits
Total Equipment
Office Supplies (General office expenses for staff to carry out LAUNCH)
Facilities Rent (Space rental fees for related meetings/trainings.)
Total Operating Expenses
Supplies for Parent Café
Health Education Specialist
County City of Fresno
15-10977 A02
Exhibit B, Attachment IV
Budget
Year 4
(07/01/18 through 06/30/19)
Personnel
Position Title/Classification
MCAH Director
Supervising PHN
Subtotal Total Personnel
Fringe Benefits (74.7176.36% Personnel)
Equipment (major equipment >$5,000)
(Retirement 60.662.25%, OASDI 7.1%, Health Insurance 6.71%, Mgmt Life .2%, Ben Admin .1%)
Total Personnel and Fringe Benefits
Operating Expenses
Training (Training parent leaders for Parent Cate's at $800/day for seven days.)
Mental Health Consultant (SOW Goals 1,2,3 &4)
Printing (Charges related to office printing, forms, & informational handouts related to LAUNCH.)
Annual Salary FTE % Annual Cost
$ 118,077 5.00% $ 5,904
$ 49,437 5.00% $ 2,472
$ 8,376
$ 6,197
$ 14,573
$ 4,125
$ 1,900
$ 1,127
$ 1,000
$ 8,152
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
$ 0
( 25.00%of Total Personnel and Fringe Benefits) $ 3,643
$ 26,368
Indirect Costs
Total Costs
Total Other Costs
Subcontracts
Total Subcontracts
Other Costs
Total Travel
Total Operating
Equipment (major equipment >$5,000)
Total Equipment
Travel
(Travel to Alameda for training and site visits, Occasional overnight stays. Reimbursement for staff for private
auto mileage at rate of 0.54/mile when they travel to related trainings/meetings. County will bill only up to the
State's per diem rate, Includes County vehicle & vehicle rental costs when private vehicles are not used. Also
Includes expenses for meals and lodging for out of County travel.)
Postage
Total Personnel
Fringe Benefits (73.985% Personnel)
(Retirement 59.875%, OASDI 7.1%, Health Insurance 6.71%, Mgmt Life .2%, Ben Admin .1%)
Total Personnel and Fringe Benefits
Operating
Supplies for Parent Café
Printing (Charges related to office printing, forms, & informational handouts related to LAUNCH.)
Office Supplies (General office expenses for staff to carry out LAUNCH)
County of Fresno
15-10977 A02
Exhibit B, Attachment V
Budget
Year 5
(07/01/19 through 09/30/19)
Personnel
Position Title
Supervising PHN
Health Education Specialist
STATE OF CALIFORNIA
CALIFORNIA CIVIL RIGHTS LAWS ATTACHMENT
DGS OLS 04 (Rev. 01/17)
DEPARTMENT OF GENERAL SERVICES
OFFICE OF LEGAL SERVICES
Pursuant to Public Contract Code section 2010, a person that submits a bid or proposal to, or
otherwise proposes to enter into or renew a qontract with, a state agency with respect to any
contract in the amount of $100,000 or above shall certify, under penalty of perjury, at the time
the bid or proposal is submitted or the contract is renewed, all of the following:
1. CALIFORNIA CIVIL RIGHTS LAWS: For contracts executed or renewed after
January 1, 2017, the contractor certifies compliance with the Unruh Civil Rights Act (Section
51 of the Civil Code) and the Fair Employment and Housing Act (Section 12960 of the
Government Code); and
2. EMPLOYER DISCRIMINATORY POLICIES: For contracts executed or renewed after
January 1, 2017, if a Contractor has an internal policy against a sovereign nation or
peoples recognized by the United States government, the Contractor certifies that such
policies are not used in violation of the Unruh Civil Rights Act (Section 51 of the Civil Code)
or the Fair Emplbyment and Housing Act (Section 12960 of the Government Code).
CERJIEJCAJJON
I, the official named below, certify under penalty of perjury under the laws of the State of
California that the foregoing is true and correct.
Proposer/Bidder Firm Name (Printed)
By (Authorized Signature)
Printed Name and Title of Person Signing
Federal ID Number
94-6000512
Nathan Magsig, Chairman of the Board of Supervisors of the County of Fresno
Executed in the County of Executed in the State of
Fresno CA
Date Executed
ATTEST:
BERNICE E. SEIDEL ____ '3 __ u..--'-f"\J2... ___ L\-_, ...;::"2:o--'\'-9...__ _____ ' Clerk of the Board of Supervisors
w CountY of Fresno, St8te of Caiifornla
\syd,4 ', ~ ]i .
State of California-Health and Human Services Agency California Department of Public Health
1616 Capitol Ave., Suite 74.262
P .O. Box 997377, MS 1800
Sacramento , CA 95899-7377
www.cdph .ca .gov
GOVERNMENT AGENCY TAXPAYER ID FORM
The principal purpose of the information provided is to establish the unique identification of the government entity .
Instructions: You may submit one form for the principal government agency and all subsid iaries sharing the same TIN. Subsidiaries with a
different TIN must submit a separate form. Fields bordered in red are required. Please print the form to sign prior to submittal. You may
email the form to: GovSuppliers@cdph .ca.gov or fax it to (916) 650-0100, or mail it to the address above .
Principal
Government
Agency Name
Remit-To
Address (Street
or PO Box)
City:
Government
Type:
County of Fresno
P.O. Box 11867
Fresno
D City
O Special District
O Other (Specify)
liJ County
O Federal
State: CA Zip Code+4: 93775-18~
Federal 194-6000512
Employer
Identification
Number
(FEIN)
List other subsidiary Departments, Divisions or Units under your principal agency's jurisdiction who share the same
FEIN and receives payment from the State of California.
Fl$Cal ID# Dept/Division/Unit I (if known) Name I Complete
Address
Fl$Cal ID# Dept/Division/Unit I
(if known) Name I Complete
Address
F1$Cal ID# Dept/Division/Unit I
{ifkno'Ml} Name I Complete
Address
Fl$Cal ID# Dept/Division/Unit I
(if known) Name I Complete
Address
Contact Person I Rose Mary Rahn Title I MCAH Director
Phone number I rrahn@fresnocountyca.gov
Signature -Date
CDPH 9083 (1/18)